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Organization
SHOREFRONT JEWISH GERIATRIC DBA MJGC HOMECARE
Active
Organization
SHOREFRONT JEWISH GERIATRIC DBA MJGC HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BALKO (SR. VP CHIEF FINANCIAL OFFICER)
(718) 491-7221
Entity
Organization
Contact information
Practice address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 491-7221
(718) 759-4555
Mailing address
6323 7TH AVE, BROOKLYN, NY 11220-4742
(718) 491-7221
(718) 759-4555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5902610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01049729
—
NY
Enumeration date
07/17/2007
Last updated
07/17/2007
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